Podcast 563:  DC ACs

Podcast 563: DC ACs

Contributor: Nick Hatch, MD

Educational Pearls:

  • An AC (acromioclavicular joint) separation in the shoulder is a common traumatic injury
  • XRs can help rule out other injuries as well as help with grading the injury
  • There are six different grades for AC separations:
    • Grade I: is stretching of the AC ligament without disruption or displacement of the clavicle and recovers with time.
    • Grade II: is partial tearing of the AC ligament with some displacement but will also heal with time.
    • Grade III: is a full separation with ligament rupture and may require surgery but is not always indicated. Surgery is more common in active patients.
    • Grades IV, V, and VI are severe separations and all require surgery.
  • Other ligament damage or tears, like a slap injury, can mimic an AC separation and often require surgery but should remain on the differential diagnosis when working up shoulder trauma.
  • Setting expectations is key. Patients with a grade 1 or 2 separation should expect 6+ weeks of limited range of motion and up to 12 weeks until return to full function.
  • Cosmetically there may be a persistent bump on the shoulder.

References

van Bergen CJA, van Bemmel AF, Alta TDW, van Noort A. New insights in the treatment of acromioclavicular separation. World J Orthop. 2017;8(12):861873. Published 2017 Dec 18. doi:10.5312/wjo.v8.i12.861

Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD



Avsnitt(1148)

Podcast 844: Dental Infections

Podcast 844: Dental Infections

Contributor: Meghan Hurley, MD Educational Pearls: Educational Pearls: Dental infections can be categorized into two main groups Infections of the gums Pericoronitis Tooth eruption leading to infl...

10 Jan 20234min

Podcast 843: Commotio Cordis

Podcast 843: Commotio Cordis

Contributor: Jared Scott, MD Educational Pearls: Commotio cordis is sudden ventricular fibrillation precipitated by direct impact to the chest A national registry, US Commotio Cordis Registry, repor...

9 Jan 20234min

Podcast 842: "History of Wound Care"

Podcast 842: "History of Wound Care"

Contributor: Chris Holmes, MD Educational Pearls: Through world history, there have been various interesting approaches to wound care Ancient Egyptians applied honey, lint, and grease which provided ...

4 Jan 20234min

Podcast 841: Wound Care

Podcast 841: Wound Care

Contributor: Aaron Lessen, MD Educational Pearls: Wound care in the emergency department aims to prevent future infection Copious wound irrigation is the important step in preventing wound infection ...

3 Jan 20233min

Podcast 840: Abnormal Pediatric Vitals at Discharge

Podcast 840: Abnormal Pediatric Vitals at Discharge

Contributor: Aaron Lessen, MD Educational Pearls: Pediatric patients frequently have vital signs considered abnormal for age at discharge Large multicenter study recently evaluated if pediatric patie...

29 Dec 20223min

Podcast 839: Causes of Pancreatitis

Podcast 839: Causes of Pancreatitis

Contributor: Travis Barlock, MD Educational Pearls: The causes of pancreatitis can be remembered with the mnemonic: "GET SMASHED" G: Gallstones (Most common cause of pancreatitis overall) E: Ethan...

19 Dec 20223min

Podcast 838: Sternoclavicular Septic Arthritis

Podcast 838: Sternoclavicular Septic Arthritis

Contributor: Aaron Lessen, MD Educational Pearls: Septic arthritis of the sternoclavicular joint is uncommon accounting for Immunosuppression and IV drug use increases the risk  Can account for up ...

13 Dec 20224min

Podcast 837: Snakebites

Podcast 837: Snakebites

Contributor: Meghan Hurley, MD Educational Pearls: Venomous snakes in the United States include species from the family Elapidae and subfamily Crotalinae In prehospital setting, elevate the bitten ex...

12 Dec 20226min

Populärt inom Vetenskap

dumma-manniskor
p3-dystopia
svd-nyhetsartiklar
allt-du-velat-veta
rss-ufo-bortom-rimligt-tvivel
kapitalet-en-podd-om-ekonomi
det-morka-psyket
bildningspodden
rss-vetenskapsradion-2
rss-experimentet
halsorevolutionen
dumforklarat
paranormalt-med-caroline-giertz
4health-med-anna-sparre
sexet
naturmorgon
rss-utblick
rss-tidsmaskinen
rss-vetenskapsradion
rss-geopodden-2